TINA L CLARK LDO2206 NPI 1902664022

NPI Information

NPI: 1902664022
Provider Name: TINA L CLARK, LDO2206
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
557 HIGHWAY 11
MONROE, GA
ZIP 30655
Phone: (678) 758-4783
Get Directions

Tina L Clark, LDO2206 is an optician technician technologist in Monroe, GA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Tina L Clark, LDO2206 NPI is 1902664022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

557 HIGHWAY 11
MONROE, GA
ZIP 30655-078
Phone: (678) 758-4783

The enumeration date for this NPI number is 3/12/2024 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	LDO2206	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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